Organization Name: | SEA-MAR COMMUNITY HEALTH CENTER |
NPI Number: | 1053789867 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROGELIO RIOJAS (EXECUTIVE DIRECTOR) |
Mailing Address: | 7438 S D Ave Concrete |
State: | WA US |
Postal Code: | 982379642 |
Phone Number: | 3608538183 |
Fax Number: | |
NPI Enumeration Date: | 09/10/2015 |
NPI Last Update Date: | 09/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |